IndividualActive
Ethan Malcomb
NPI 1104756642 · Personal Care Attendant · Madison, WV
Ethan Malcomb is a Personal Care Attendant provider in Madison, WV (NPI 1104756642).
Provider details
- NPI number
- 1104756642
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Avenue C
Madison, WV 25130-1100
Phone: (304) 242-8404
Approximate (ZIP-level) locationGet directions
Mailing address
492 Upper River Rd
Danville, WV 25053-4564
Registry dates
- Enumerated
- 2026-05-19
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Frequently asked questions
- What is Ethan Malcomb's NPI number?
- Ethan Malcomb's National Provider Identifier (NPI) is 1104756642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Malcomb's specialty?
- Ethan Malcomb is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).
- Where is Ethan Malcomb located?
- Ethan Malcomb's practice location on file with NPPES is 1 Avenue C, Madison, WV 25130-1100.
- What is Ethan Malcomb's phone number?
- The practice phone number listed in the NPPES registry for Ethan Malcomb is (304) 242-8404.
- Is Ethan Malcomb's NPI active?
- Yes — Ethan Malcomb's NPI (1104756642) is active in the NPPES registry as of the last update on 2026-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.